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    王晓宇, 张冲, 李迎, 刘建国, 崔传玉, 郭士勇, 甄清, 何飞. 支气管肺灌洗在先天性心脏病合并重症肺炎婴幼儿亚急诊手术中的应用[J]. 徐州医科大学学报, 2021, 41(8): 607-610.
    引用本文: 王晓宇, 张冲, 李迎, 刘建国, 崔传玉, 郭士勇, 甄清, 何飞. 支气管肺灌洗在先天性心脏病合并重症肺炎婴幼儿亚急诊手术中的应用[J]. 徐州医科大学学报, 2021, 41(8): 607-610.
    Application of bronchoalveolar lavage during cardiopulmonary bypass surgery for congenital heart defects[J]. Journal of Xuzhou Medical University, 2021, 41(8): 607-610.
    Citation: Application of bronchoalveolar lavage during cardiopulmonary bypass surgery for congenital heart defects[J]. Journal of Xuzhou Medical University, 2021, 41(8): 607-610.

    支气管肺灌洗在先天性心脏病合并重症肺炎婴幼儿亚急诊手术中的应用

    Application of bronchoalveolar lavage during cardiopulmonary bypass surgery for congenital heart defects

    • 摘要: 目的 探讨支气管肺灌洗在先天性心脏病合并重症肺炎婴幼儿亚急诊手术中的诊疗价值。方法2016年12月至2019年12月我院实施先天性心脏病合并重症肺炎婴幼儿亚急诊手术25例。随机分为观察组(12例)和对照组(13例),观察组在术中体外循环建立后实施支气管肺灌洗,对照组仅常规手术。比较两组患儿术后呼吸机辅助通气时间,监护室留滞时间,感染指标及术后并发症情况。结果 25例患儿均治愈出院,观察组患儿术后呼吸机辅助通气时间、监护室留滞时间小于对照组(P<0.05),肺部感染临床评分(CPIS)下降至6分以下时间,降钙素原(PCT)、白细胞计数(WBC)恢复正常时间小于对照组(P<0.05)。结论 对于先天性心脏病合并重症肺炎接受体外循环亚急诊手术的婴幼儿,术中支气管肺灌洗有利于肺部感染控制,改善肺功能,可缩短术后呼吸机辅助通气时间和监护室留滞时间。

       

      Abstract: ob<x>jective To explore the value of application of bronchoalveolar lavage during Sub-emergency cardiopulmonary bypass (CPB) surgery for infants with congenital heart disease (CHD) complicated with severe pneumonia. Methods From December 2016 to December 2019, 25 cases of infants with congenital heart disease complicated with severe pneumonia were performed in our hospital. They were randomly divided into an observation group (12 cases) and a control group (13 cases). The observation group was given bronchopulmonary lavage after the establishment of CPB. The time of postoperative ventilator-assisted ventilation, stay time in the intensive care unit (ICU), Clinical pulmonary infection score (CPIS) and postoperative complications were compared between the two groups. Results All 25 patients were cure. The postoperative ventilator-assisted ventilation time and ICU retention time of the observation groups were less than the control group (P <0.05). The time for procalcitonin (PCT) and white blood cell count (WBC) to return to normal of the observation groups was shorter than that of the control group (P <0.05). Conclusions Bronchoalveolar lavage during CPB surgery for CHD complicated with severe pneumonia is conducive to lung infection control, could ameliorate postoperative pulmonary function, reduce mechanical ventilation time and ICU retention time.

       

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